Individual
DR. MOITRI NATH DATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 N BROADWAY, WHITE PLAINS, NY 10603-3217
(914) 723-3247
(914) 723-4211
Mailing address
9 OVERHILL RD, SCARSDALE, NY 10583-5307
(914) 723-3247
(914) 723-4211
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
138997
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00423294
—
NY
01
—
138997
MEDICAL LICENSE
NY
Enumeration date
02/03/2007
Last updated
03/07/2023
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